MR. KENDALL DEWAYNE JOHNSON (NPI# 1093028318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093028318 |
| Entity Type | Individual |
| Full Name | MR. KENDALL DEWAYNE JOHNSON |
| Credential | COTA |
| Practice Address |
744 The Rialto Venice FL 34285-3524 |
| Mailing Address |
3223 Beneva Rd Sarasota FL 34232-4578 |
| Practice Telephone | 9414845500 |
| Mailing Telephone | 7275579856 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA10519 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962785212 | Kendall Amanda Johnson | Physician Assistant | 5065 Pyramid Hwy, Sparks, NV 89436-7703 | 2011-09-22 |
| 1982856308 | Kendall Odell Johnson | Physical Therapist | 1024 Beech Tree Ln, Brentwood, TN 37027-7642 | 2008-10-16 |
| 1205331352 | Kendall Rae Johnson | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-29 |
| 1972985091 | Kendall Johnson | Family Medicine | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2015-06-25 |
| 1932452422 | Kendall Johnson | Specialist | 4647 N 32nd St, Suite 185, Phoenix, AZ 85018-3345 | 2012-10-21 |
| 1316290059 | Kendall A Johnson | Social Worker | 275 First Street Ext, Springfield, GA 31329-0000 | 2012-10-18 |
| 1770873101 | Kendall R Johnson | Pediatrics | 282 Washington St, Medical Education, 4h, Hartford, CT 06106-3322 | 2011-04-19 |
| 1073659298 | Kendall M Johnson | Social Worker | 9155 Sw Barnes Rd Ste 333, Portland, OR 97225-6630 | 2007-01-29 |
| Street Address |
744 THE RIALTO |
| City | VENICE |
| State | FL |
| Zip Code | 34285-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366592628 | Handworks Therapy, L.c. | Physical Therapist | 744 The Rialto, Venice, FL 34285-3524 | 2007-01-11 |
| 1184258410 | Norma A Olea | Occupational Therapist | 744 The Rialto, Venice, FL 34285-3524 | 2020-02-25 |
| 1295365344 | Miremonde Joseph | Occupational Therapist | 744 The Rialto, Venice, FL 34285-3524 | 2020-01-16 |
| 1649743949 | Kacie Maurer | Occupational Therapist | 744 The Rialto, Venice, FL 34285-3524 | 2019-01-09 |
| 1417428236 | Christina Leigh Iannello | Occupational Therapist | 744 The Rialto, Venice, FL 34285-3524 | 2018-12-06 |
| 1205304003 | Kimberly A Lyon | Occupational Therapist | 744 The Rialto, Venice, FL 34285-3524 | 2018-11-09 |
| 1013033570 | Kristin A Valdes | Occupational Therapist | 744 The Rialto, Venice, FL 34285-3524 | 2007-03-22 |
| 1275650707 | Tamara L Morton | Physical Therapy Assistant | 744 The Rialto, Venice, FL 34285-3524 | 2007-03-22 |
| 1881710358 | Scott J Killam | Physical Therapist | 744 The Rialto, Venice, FL 34285-3524 | 2007-03-22 |
| 1366596017 | Daniel C. Stanley | Occupational Therapist | 744 The Rialto, Venice, FL 34285-3524 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487186029 | Lauren Osmond | Occupational Therapy Assistant | 166 Wading Bird Dr, Venice, FL 34292-2478 | 2017-04-02 |
| 1861941882 | Sandy Campbell | Occupational Therapy Assistant | 711 Coconut Rd, Venice, FL 34293-6735 | 2016-10-03 |
| 1649600271 | Kimberly Louise Brimlow | Occupational Therapy Assistant | 4085 E Venice Ave Lot 92, Venice, FL 34292-2520 | 2013-11-18 |
| 1174869135 | Nancy Jean Todoroff | Occupational Therapy Assistant | 1795 Birch Dr, Venice, FL 34293-2702 | 2012-12-19 |
| 1730450834 | Billie Potter | Occupational Therapy Assistant | 447 Wexford Cir, Venice, FL 34293-4290 | 2012-01-20 |
| 1033480207 | Beverly Sharon Robinson | Occupational Therapy Assistant | 791 Jacaranda Cir, Venice, FL 34285-7022 | 2012-01-20 |
| 1366750887 | Leann Renee Frizzell | Occupational Therapy Assistant | 131 Oberlin Rd, Venice, FL 34293-6529 | 2010-09-17 |
| 1942428966 | Jill R Kirk | Occupational Therapy Assistant | 724 Sugarwood Way, Venice, FL 34292-3924 | 2007-04-23 |
| 1134752173 | Jessica Maqueira | Occupational Therapy Assistant | 417 Commercial Ct Ste C, Venice, FL 34292-1655 | 2020-02-18 |
| 1548807191 | Susan Chynoweth | Occupational Therapy Assistant | 417 Commercial Ct Ste C, Venice, FL 34292-1655 | 2019-12-03 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.